02-101378 • s
ColmmunityDevelelopment$ervices Building - Multi Family Permit #:02 - 101378 - 00 - MF
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: OCEAN RIDGE APART S ; -°2
Project Address: 1801 S 282ND PL i Parcel Number: 332204 9081
Project Description: RES REP-Tear off comp, plac es ' -i;n'r.No resheeting.
Owner Applicant Contractor Lender
COMMUNITY HOUSING ASSISTA PACIFIC STAR ROOFING INC PACIFIC STAR ROOFING INC NONE
28120 18TH AVE S 12902 HIGHWAY 99 S PACLESR179JA(10/31/02)
FEDERAL WAY WA EVERETT WA 12902 HIGHWAY 99 S
98003-3265 EVERETT WA NONE
Includes:
Census category: 555-Non-st #1 :2_1 #3 #4
Occupancy Group: R-1
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 555-Non-structural roofing p Mechanical No
Permit for Foundation Only No Plumbing No
Will Certificate of Occupancy be Issued? No Zoning Designation RM 1800
PERMIT EXPIRES September 30,2002,IF NO WORK IS STARTED.
Permit issued on April 3,2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: ` � Date: k(`a/
—0 1'
t--,))1 Ott
0, ( 0o ( 5 M P 1
«►.O G CONSTRUAON PERMIT APPLICATION
V FFA_ RECEIVED APPLICATION NUMBER: .02- 10 i, M5LVIF
-
APPLICATION NUMBER: - -
APR I�01 1g1200d� �q 2APPLICATION NUMBER: - -
**ThCITY OF IAri W/�Y rmation-Please print(in ink)or type**
Please note: Electrical,Fire likeViairigi a-ms and Engineering permits may require a separate application.
• PROPERTY INFORMATION
Y SITE ADDRESS: ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
etrAkIJ R‘6(61/& AP 0nw/?-rs
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): y.BUILDING ❑ PLUMBING a MECHANICAL o DEMOLITION
a ELECTRICAL a ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):'' ��' Ar , - w �� �' .at
( r •11,'-G4 \ Y\ . \lc . Rtz 40t �,(l -nqo6,1-7o.) eoc' ► J
(N7r))4.L 1J5.uJ CDMPoS'IT cof nal 6cGAle-K t Hu/tic-490w,/.Au . Ne) h f 1 T l'v(
616 1N ffalter Diet -r2, ��I� J ) ,
PROJECT NAME: ,,'\ , *L )
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
bl+tiMOu(1 Ila a1per" T ►cZ' Ao mvit o i`i) 2 0 mos-0
MAILING ADDRESS( ET ADDRESS;a TY,STATE,ZIP):
31`13 E. tfif,e4 ,A Ami Oji� 64 . 1 tg4'' ` 5;y/r,
CONTRACTOR: NAME: DAYTIME PHONE:
Pr :0_.-, 41 ?-\ 1 li(NO) \v,(— • � -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP)' ( EEVENING PHONE:
CI 2-OF FC ERAL W STA�SI LICENSE MBER: \ 's-1 1 FAX NUMBER:
- (
CONTRACTOR'S REGISTRATION NUMBER: /� j� EXPIRATION DATE:
(copy of card required) 0, L — A to / b\ / 02_
APPLICANT: NAME: DAYTIME PHONE:
MA-a-- ? (4 ( 110 3.N' - <1S�
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
(Viol- 141 140A- 'tet . Wrn, "0 70s7 ( )
RELATIONSHIP TO PROJECT: / FAX NUMBER:
o ARCHITECT o TENANT a OTHER(DESCRIBE):G'o^rXA- Re (VK ) 2-Po - 1 787
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ./or CONTRACTOR
• DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 3161 7-.00 \,,A
.,
SPRINKLERED BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES 0 NO`►.0
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE a TACOMA a PRIVATE(WELL) — 1 ""
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC) ‘ 1
**NEW RESIDENTIAL CONSTRUCTION ONLY** iF1/4
• S
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL ;
BASEMENT.
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE) •
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
• FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING EVAPORATIVE GAS LOGS) REFRIG.SYSTEM(S)
UNIT(S) COOLER(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER. EATER(S)
DISHWASHER(S) RAIN WATER VACUUM BREAKER(S) o ELECTRIC ❑ AS
SYS.
DRINKING SHOWER(S) WASH MACHINE
FOUNTAINS) OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
• DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and
further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the informati•n s .phi to the city as a part of this application.
NAME/TITLE: i r►. 6 ga4 DATE: r - t-0 2--
PROPERTY
PROPERTY OWNER ❑APPLICANT , ONTRACTOR
FOR OFFICE USE ONLY:
o NEW o ADDITION ❑ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? o YES o NO
PLATTED LOT? o YES o NO CHANGE OF USE? ❑YES ❑ NO